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040-250-017
RECORDING REQUESTED BY: 210103 _ io io 8 3 Recorded I REC FEE 10.00 Official Records I CONFORM 1.00 County Df 811TT,= j CANDAC:E J. GRIIBBS f Recorder I AND WHEN RECORDED MAIL TO: ROSEMARY DICKSON I Assistant I Travis 01:461'M 26 -Nov -2@03 I Gage 1 of 2 BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE CA 95965 SPACE ABOVE THIS LINE FOR RECORDER USE ONLY NOTICE OF MANUFACTURED HOME (MOBILEHOME) OR COMMERCIAL COACH, INSTALLATION ON A FOUNDATION SYSTEM Recording of this document at the request of the local agency indicated is in accordance with California Health and Safety Code Section 18551. This document is evidence that such local agency has issued a certificate of occupancy for installation of the unit described hereon, upon the real property described with certainty below, as of the date of recording. When recorded, this document shall be indexed by the county recorder to the named owner of the real property and shall be deemed to give constructive notice as to its contents to all persons thereafter dealing with the real property. HAROLD TARTER 7 COUNTY CENTER DRIVE WESTWOOD REAL PROPERTY OWNER/LESSOR DATE OF MANUFACTURE OROVILLE BUTTE CA 9225 GOODSPEED ST # L CITY COUNTY STATE ZIP MAILING ADDRESS 538-7541 Bua—.DU4G PERMIT N0. TELEPHONE NUMBER DURHAM BUTTE CA 95938 CITY COUNTY STATE ZIP 9216 GOODSPEED ST. NONE INSTALLATION MAILING ADDRESS, IF DIFFERENT DEALER LICENSE NO. DURHAM BUTTE CA 95938 CITY COUNTY STATE ZIP SAME UNIT OWNER (if also property owner, write "SAME") SAME MAILING ADDRESS SAME CITY COUNTY STATE ZIP UNIT DESCRIPTION BUTTE COUNTY BUILDING DIVISION LOCAL AGENCY ISSUING PERMIT and CERTIFICATE OF OCCUPANCY 7 COUNTY CENTER DRIVE WESTWOOD MAILING ADDRESS DATE OF MANUFACTURE OROVILLE BUTTE CA 95965 CITY COUNTY STATE ZIP 02-0522 530 538-7541 Bua—.DU4G PERMIT N0. TELEPHONE NUMBER 4i�4.j&� 11-12-03 S L AGENCY OFFICIAL DATE NONE DEALER NAME (if not a dealer sale, write "NONE") NONE DEALER LICENSE NO. DELAWARE WESTERN HOM 2003 WESTWOOD MANUFACTURER'S NAME DATE OF MANUFACTURE MODEL NAME/NUMBER 17310114A/B 70'X13'6" & 12'10" HWC339228/9 SERIAL NUMBER(S) LENGTH X WIDTH INSIGNIA/LABEL NUMBER(S) REAL PROPERTY LEGAL DESCRIPTION SEE ATTACHED . ASSESSOR'S PARCEL NUMBER AP # 040-250-017 HCD FORM 433(A) REV. 8/91 WHITE -County Recorder CANARY - HCD FIN: - Applicant GOLDENROD- Building Dept. m LEGAL DESCRIPTION A.P. # 040-250-017 All that certain real property situate in the County of Butte, State of California, described as follows: LOT 13, AS SHOWN ON THAT CERTAIN MAP ENTITLED, "MARTENETTE ADDITION TO DURHAM, BUTTE COUNTY, CALIFORNIA, ", FILED IN THE OFFICE OF THE COUNTY RECORDER OF BUTTE COUNTY, CALIFORNIA, ON MARCH 21, 1921, IN BOOK 8, OF MAPS, AT PAGES(S) 37. Star Tk* FOUNDATION SYSTElVI� RTIFICATE OF OCCUPANCY M 4n s BUILDING PERMIT NUMBER: 02-0522 Address or location of unit: 9216 GOODSPEED ST., DURHAM CA 95938 Legal Description of Real Property: AP # 040-250-017 SEE ATTACHED (x) Mobilehome/Manufactured Home () Commercial Coach Has been affixed to the real property above by installation on a foundation system pursuant to Health and Safety Code Section 18551. Owner's name: HAROLD TARTER Owner's address: 9225 GOODSPEED ST., # L DURHAM CA 95938 INSIGNIA OR HUD NUMBER: HWC339228/9 SERIAL NUMBER OR V.I.N.: 17310114A/B MANUFACTURER'S NAME: DELAWARE WESTERN HOMES CORP. YEAR: 2003 OFFICIAL APPROVING INSTALLATION `1,2,& DATE: 11-12-03 PHONE: (530) 538-7541 H.C.D. 513C a SIERRA HOMES 5303655732 11/26/03 01:42P P.001 STATE OF CALIFORNIA NUMBER: b��,roFh ;tNESS, TRANSPORTATION AND HOUSING AGENCY L�rcTMENT OF HOUSING AND COMMUNITY DEVELOPMENT 8.704771 ® DIVISION OF CODES AND STANDARDS �. • • • MANUFACTURED HOUSING PROGRAM MANUFACTURER•CERTIFICATE OF ORIGIN ❑ CHECK IF THIS IS A DUPLICATE MCO -ENTER ORIGINAL MCO NO. _ MANWIFACTURED HOMER MULTI -UNIT MANUFACTWRED HOUSING NUMBER OF y men rcu.Ir_t r c1.1. V nVir-I I INri1 0 MUMH (MULTI -UNIT MANUFACTURED HOUSING. TRANSPORTABLE SECTIONS ` MM OCCUPANCY GVIOUP OELAWARE WESTERI NUFACTURER ADDRESS: SIERRA HOMES • 4 HWY 273, ANDERSON, CA 96007 REDOING RANK OF COMMERCE ATION 1 51 CHURN CREEK ROAD, REDDING, CA 96002 (S+ree I SECTION MANUFACTURER SERIAL NUMBER +a 1 17310114 A 2 17310114' B - DATE OF TRANSFEREE DESIGNATION: 12234 HCO INSIGNIA OR HUD LABEL NUMBER LENGTH INCHES' HWC339228 840r' HWC339229 640" NAM "SPORTER E: 1 •. SRM! S/TkR0 ORX A TU 08121!0.3 WIDTH INCHES) WEIGHT JPOUNDS i 182-' .1,E56 154" 26.664 )JO, � 1 , R�DIf�Jfd, C1a( 8609Q. Stale zI Sueel CB DESTINATION FOR UNIT DESCRIBED ABOVE; TARTAR, 9216 GOODSPEED ST., DURHAM, CA 95938 NAME Strew Cil Stole(zip) i • 1 c.nlltr unser poruM Of penury und.rtlte tewo o1 the 310Me W Celdom;e+Nl Ins .bo.e ads er . er14 08/21703L�PIAJWP.YOLO, CALIFORNIA Eaewte4 cn al (Data) (C'tY .. ... (Crony) (Stere) SIGNATURE° '1° AUTHORIZED AGENT: EL �TntBUTIbN: "' ORIGINAL (PINK) FORWARD TO THE -INVENTORY CREDITOR, UNLESS THERE IS NONE, THEN FORWARD TO THE PURCHASER (DEALER OR TTIANSFEREE). COPY 1 (+MiITE) FORWARD TO THE DEPARTMENT AT P.O. BOX 11128, SACRAMENTO, CA 85812.1828. WITHIN FIVC (5) DAYS OF RCLEASE. COPY 2 (YELLOW) DELIVER TO THE TRANSPORTER TO ACCOMPANYTNE UNIT TO ITS DESTINATION. COPY 3 (GOLDENROD) TO BE RETAINED BY THE MANUFACTURER. HCD 483.0 -Side 7 • (7/97) r i ego n � Frances �. _.._. 3n3.:'7355 .._ . 1470�cahavan P6 _..._.. _.. 69aac a, 6alif®cads 959M i Access real estate lending To Whom It May Concern: Harold Tarter has secured a construction loan through Access Lending for the purchase Of a. Manufactured Home to be place on a engineered County approved Permanent Foundation system on the property located at 9216 Goodspeed Street Durham, Ca If you need further assistance regarding the above loan Please feel free to call. Thank You, Stephanie Ty er Sr. Loan Officer • 1051 Mangrove Avenue • Chico, California 95926 • (530) 897-4090 • (530) 892-2090 Fax • 5800 Clark Rd. Suite 3 • Paradise, Califronia 95969 • (530) 877-5122 • (530) 876-9608 Fax • RECORDING REQUESTED BY: Fidelity National Title of California Escrow No. 207881 -JT Title Order No. 00207881 When Recorded Mail Document and Tax Statement To: Harold Tarter 92/6 6vcat5Peer"- ha W . G'% 9 v 59 Recorded I OfficialRecords Of Records I CoBUTTE CANDACE J. GRUBBS I Recorder I ROSEMARY DICKSON I Assistant I 09:00AN 31 -Jan -2003 I REC FEE 13.00 TAX 186.45 Barbara Page 1 of 3 AF'N: U4U-ZbU-0i 7 GRANT DEED SPACE ABOVE THIS LINE FOR RECORDER'S USE The undersigned grantor(s) declare(sr Documentary transfer tax is $ 1fCity Transfer Tax is $ QA)v [ }� ] computed on full value of property conveyed, or [ ] computed on full value less.value of liens or encumbrances remaining at time of sale, [ ] Unincorporated Area of Durham FOR A VALUABLE CONSIDERATION, receipt of which is hereby acknowledged, Joyce E. Tarter, an unmarried woman hereby GRANT(S) to Harold Tarter, a married mane,& v sole and separate property the following described real property in the City of Durham, County of Butte, State of California: e .- "IDre- DATED: June 26, 2002 • moi_.!_.. i ♦(/ .- . - - ��YJYIl��L1 personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. Witnes and and official seal. Signature FD -213 (Rev 7/96) 2-)E!4 C -Q Joyce E. Tarter Ad:' J. TUNISON Q •' COMM. A 1244972 V V I NOTARY PUSUC-CAUFORNIA O euTTE COUNTY a MY COMM. EXPIRES SEPT. 18, 2003 MAIL TAX STATEMENTS AS DIRECTED ABOVE GRANT DEED Order No. 207881 EXHIBIT "ONE" Lot 13, as shown on that certain Map entitled, "MARTENETTE ADDITION TO DURHAM, BUTTE COUNTY, CALIFORNIA,", filed in the Office of the County Recorder of Butte County, California, on MARCH 21., 1921, in Book 8, of Maps, at Page(s) 37. Assessor's Parcel No: 040-250-017. . 13 ILLEGIBLE NOTARY'SEAL DECLARATION GOVERNMENT CODE 27361.7 I certify under penalty of perjury that the notary seal on the document to which . this statement is attached reads as follows: Name of Notary�. �,�, �� Expiration Date ';�7- �--"- 03 Commission I.D. # /Z3 4/1707 Manufactureres I.D. # rQ County �J� _ State ----,c& Place of execution of this declaration �/mW.I Date %� _A'? 61;4��L - FNT BY: Signature (Firm name if any) Date: MAY 16 2003 This Is to certify that, if bearing the purple seal of this office, this Is a true copy of the document filed with the Butte County Clerk -Recorder's Office. Candace J. Grubbs Butte C G ty Clerk -Recorder By . Deputy NOTES 1 ' RESIDENTIAL', \� 040'=250-017 _ � - �.. TARTER, HAROLD 02'0522 9��(0931MGOODSPEED ST. DURH . CONT: A NI NEW MHPER�— THE HCD FORM 433A FOR THIS MH CANNOT BE RECORDED UNTIL ONE OF THE FOLLOWING HAS BEEN TURNED IN TO THE BUILDING DIVISION: (1) LICENSE PLATE(S) OR DECAL (THE,° } INSPECTOR MUST RETREIVE). f (2) STATEMENT OF FACTS (ONLY ON NEW MH'S). INSPECTOR TO VERIFY SERIAL. & LABEL #'S. FI SPECIAL CONDITIONS �310 22-8 CHECKED r G BY s SRA r FLOOD CERTIFICATE REQ. I FIRE SPRINKLERS REQ. r USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER qFFICE COPY Address GAS Meter By Date i ELECTRI Meter By Date �L - J JOB FINALED (Date) �l� l Z--03 Signature qi V.,OK 0; Not OK = Not Applicable Not Ready MOBILE HOMES = Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch S. Sewer; Location -Test -Fall -C/O -Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / /" L'N. / /'Nat. or/ /"L"ft./ /'LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1' Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HO STALLATION (Plans) OK exceat #'s /L7 Qj. Gas; MH Test -Demand -Valve -Connector ' ectricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 6 Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. Exits; Insp.-Sketch 1. Cert. of Occupancy 12. Permanent Foundation Only; License Decal Date q -� -Q Card B-- Date Card B-1 Date Card B-1 Date Card B-1 A -M �1 . I 1 ` � o I'- U t MISCELLANEOUS Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rhrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills -Anchors- Studs- Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test 11. Liaht Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK 0 = Not OK = Not Applicable = Not Ready RESIDENTIAL (S Date 46. Underfloor (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Fig. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ r' Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists- Vent s-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date 63. PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19 D.W.V.; Test Fittings & Anchor -Nail Protection 20. Shower Pan; Test, First Floor -Tub Access 21. Test Tub & Shower, Second Floor -Tub Access 22. Gas Pipe; Sixe & Anchors 70. Fireplace or Stove, Clearance -Hearth Date 71. Card B-1 Date Card B-1 Date 72. Card B-1 Date Card B-1 Date 73. ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At 30. Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At Insulated Neutral O Yes 0 No 31. Service -Riser Conductors & Ground Main Disconnect 32. Equip. Clearances Panels-Motors-Mech. Equip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings Date 86. Card B-1 Date Card B-1 Date 87. Card B-1 Date Card B-1 Date 88. MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Permit) OK except #'s Comments at Final: 40. Sills Proper Materials & Anchors 41. Walls Studs -Nailing Spacing & Braces -Plates -Sound 42. Bearing Walls over Girders & Floor Nailing 43. Draft Stop in Walls (rat proof) 44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 45. Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. Hangers -Post Caps -Anchors -Connectors 47. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rfng. 48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59. Shear Walls; Nailing -Bolts 60. Brace Interior/Exterior Wall Panels 61. Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s 63. Ext. Steps -Door & Sidelight Protection -Landings 64. Smoke Detector 65. Furnace Vents -clearance -Comb, Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 66. Bedroom Exiting 67. G.F.I. & Bath Fixtures & Tub Access -Spa 68. Elec. Trim & Subpanel, Breaker Sizes & Labels 69. Stairs & Rails 70. Fireplace or Stove, Clearance -Hearth 71. Elec. Outlets at Wood Panel, Int. & Ext. 72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73. Elec. Outlets& Receptacles at Kit. Counter 74. Garage Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plb., Elec. & Mech. Equip. Listed for Location 78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection 79. Insulation -Foam -Looked in Attic 80. Guard Rails & Deck Construction -Post Caps 81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth Clearance Looked under Floor O Yes 82. Following Instld./Drive J Yes J No/Walks J Yes J No/Planters J Yes ] No 83. Stucco Brown -Finish 84. A.C. Unit Disconnect, Electrical -Plumbing 85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. Water Well, Disconnect, Electrical, Plumbing 87. Exterior Elec. Trim, G.F.I. Receptacle -Underground 88. Ventilation Throughout House 89. Glass Protection 90. Corrections from Previous Inspections 91. Gas Test -Meters Tagged, Gas -Electric 92. Water & Sewer Connected -C/O to Grade -HD Approval 93. Energy Compliance Certificate -Other Certificates 94. Address Posted Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card 8-1 Date Card B-1 Comments at Final: 1 sS ...... COUNTY OF BUTTE" s.: BUILDING DIVISION DEPARTMENT -OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 3 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE R ��z Z. PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. �AIN" Date!' �' Inspector REV t0/92 COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. f / r Date Inspector REV 10/92 j �� �� 7 - COUNTY OF BUTTE `l - BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, 6A - (530) 891-2751 1 A 7 County Center Drive * Oroville, CA - (530) 538-7541 CORRECTION NOTICE �J, 2 - OWNER PERMIT NO. '3 ' 46A routine iinspeXo*n 1 7 dic-- that the following violations of butte county Ordinances exist at the above addre Vand: /hl be corrected. Please notice this office when correction of work Is completed.re I you a y questions pertaining to this matter, or need additional explanatio - n, ri 'r please co act is fti immediately. t. 11 "I W r ki W COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street - Chico, CA - (530) 891-2751 7 County Center Drive - Oroville, CA - (530) 538-7541 CORRECTION NOTICE 6' K4-ev- 02 .yS ZZ `*~ OWNER PERMIT NO. F a f` A routine inspection indicates that the following violations of butte county Ordinances exist at the n above address and should be corrected. Please notice this office when correction of work is F r completed. If you have any questions pertaining to this matter, or need additional explanation, I please contact this office immediately. t>" C t-4/1 ) yl f�-Al`, '�� D ry+�yj Cb.,vk-csq c�,,f1 . 01L, 1.0 C6Ue ✓ 11 VC4vf G6 1 f Date t J D Inspector REV 10/92 COUNTY OF BUTTE BUILDING DIVISION ;= DEPARTMENT OF DEVELOPMENT SERVICES _ 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 'fir :.a CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. Date / f -63 Inspector REV 10/92 A ' . INTER -DEPARTMENTAL MEMORANDUM TO: BUILDIN DIVI .ON, OROVILLE FROM: ENVIR. HEALTH, CHICO DATE: RELEASE ENV. HEALTH HOLD ON BUILDING FINAL FOR:. OWNER NAME: SEPTIC: WELL: AP#: /�'�d� —lJ/,Z ADDRESS/LOCATION:l Comments: GUmemos/releasehold COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev.12/96)• APPLICATION AND PERMIT 0 a --05 aaa ASSESSOR PARCEL NUMBER 040-250-017 12-:3 ZONING BUILDING PERMIT OWNER TARTER, HAROLD TELEPHONE 898-8278 SO. FT. OCC. BUILDING VALUATION 1 843 R-3 99 522.00 9225 GOODSPEED ST. #L DURHAM CA 959 CONTRACTOR'S NAME ANDY CARDYN TELEPHONE 521-1601 CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER [Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 99 522.00 ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee 639 / 2 $ 319.50 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 207.67 BUILDING ADDRESS x-3$9 MODSPEED ST. DURHAM CA 9x95*— Energy Plan Checking Fee $ $ �a1 � PERMIT FEE $ 547.17 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome M Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 L5.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation EX Other ❑ Describe Work: NEW MH PERM M Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 15.00 Mobile Home I S I G I W @20.00 15.00 PERMIT FEE $ 65.00 ELECTRICAL PERMIT Filing Fee 20.00 eo.A GR LESS Main Service 200AORLESS 23.00 3.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class LIC. No. OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. O I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service tow TO 1000A 46.00 NEW CONST. DWELLING OCCUR OR ADDNS. ( 6 ACC. BLDS. so 3.50FT. I,GµpQID. MULTI.OUTLET 97,50 APPARATUS 8 SINGLE OUTLET CXR. EX. OCCU OUTLET OR FIXTURES 20 @X'50 64L @ .50 FIXED MI Ex. Occup. o�1 rs RES16 aEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $43,00 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensa ' provisions of section 3700 of the Labor Code, I shall forthwith comply ' those provisions. X Date - ' I ( _ 0Z Signature of App is Owner [3Contractor ❑ Agent OSHA permit required for excavations over 5'0"deep and demolition or construction of of structures over 3 stories in height. 44 OQ 44 ReceiplNo. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee Is Energy Inspection Fee Is occ CONST. TYPE OTAL FEE $ 699-17- HAZ. �- D. FEE<IMP D COF PARC PoD SU 1 This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By � a��� %y PERMIT EXPIRES ON I the applicable provisions Resolutions to do work been paid. �✓ e J Q Date WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINKANS ECTOR GOLDENROD -APPLICANT Or ?r : ti COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140 PERMIT APPLICATION DATA SHEET OWNER: -1a' D2 `, I_C ASSESSOR PARCEL NUMBER 0-10« 5O r I� Proposed Building Use: M ` tT - �Znter Technician: V Q&" Date: 3— t I d _01 - Items required in order to apply or a permi . All boxes MUST be checked OR marked NA in order to apply. 1.. Plot plans, 3 or 4 sets, si d by the preparer of the plans. 2. Complete plans, 3 or ts, signed by the preparer of the plans. 3. Engineered plans, 3 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 4. Engineered truss ails d layouts in duplicate. No faxes.! 5. Energy compliance design and supporting documentation in duplicat 6. ed homes: A Da eets and installation i struc ons, B) Marriage line information, C) Floor Plan, (D) Tie down or Ce ndation_ plans, all in duplicatee.�. R e C % a gs: etaBui ding Plans,)° l s nd calculations in at 1SVat�i�Gvgn triplicate. 1 _ (D) Floor plans in triplicate. All of these must be §t�pd wet-si ng ed by the eit. ' . er. Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be indexed and returned to the plan review line-up when required items are received. Date Received By Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................ Plot plan and business license approval from the City of Biggs .... c ............................... Letterro( intent for non-residential buildings........................................................ Dfa Accessory Building Form filled out by the owner ..................................... H a5rdous Material Form �z............................................................................... Other .... Rejnaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.) :4 'ees as shown on the attached Schedule of Fees Due Sheet ....................................... 3 � i ) ❑ 15. Statement of Intent for Non -heated and A/C Buildings..................................� 13 116. Sanitation and plot plan approval from the Environmental Health Department in CC.. /Y r I City of Chico Plumbing permit........................................................................ ,i 18. California Department of Forestry plan approval ❑ paid. Sent b ...................... . e'I ❑ 19. Planning approval for (A) Use: 5 I< (B)Parking: CO.) Parcel Check: 0 Contact Land Development about ❑ Improvements, ❑ Drainage .: .............................. 1` ncroachment Permit for driveway from the Public Works Dept. (Instruction approval prior to occupancy). b���� O(L 2. Pre -Inspection for required ................ ❑ 23. Contractor's license information. (Number, Name Style, Classification) ...................... ❑ 24. Worker's Compensation Carrier and Policy Number ..............:.............................. 5. wner-Builder Verification (❑ Given to owner, ❑ Mailed to owner) ..............'....... Letter of Signature authorization.................................................................... 7. ecorded copy of Agricultural Acknowledgment Statement .................................... t nufactured home utility clearance........:.........................................Phec �tng ' lation�nd/or expired permits ........... .............................rant eed, �7 M.H. Title/Statement of Facts, er from Legal Owner to H.C.D.33. $ When issued Telephone CW6whB/l and hold for pickup. I have been informed 'Applicant: 1. Index permit applica 2. Additional items recf Contractor, designe , o Contractor, designe , Plans reviewed by: Structural reviewed by: Note transfer by: and requirements for obtaining a building permit. < < a1 a WS 11 Z-11,07 N i 0 9, /zzjo,:tZA Date: )r the1," 4V'�Plan Check Letter T , was a a by M1 phonelr;, m il, ❑ counter, by Date: vas advised of the above data by ❑ phone, ❑ mail, ❑co nter by _Date: S — / a 2— Zip% Date: 5-1— 0 Z Plans approved by: . L Date: Date: z Strut r���apt�7 0� y D Date: G / i� Yellow: Building Division C&IkW OW E CK���s �-`- f Oi /L►g TO: Building Department FROM: Environmehical Health SUBJECT: Sanitation Clearance E.W. Us ONLY P102 Poen Attnchod Flacy Plan Attacked Sent to ®.O. On T~� Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public ✓ Private Well Clearance for dwelling. Other r _..-"^"F'- __„'-mare-� - = •�_.. _. .. _._... a., Hold final for�0ina c earance O.K. f NOTE: Environmental Health Specialist Date 8/96 COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 SCHEDULE OF FEES DUE OWNER.�Lw' PROPOSED BUILDING USE H p4aenii BUILDING PERMIT FEES --Balance Due e No �O�1 �(4 $��t 50 . ...................... --Additional Fees Due ............................................ $ --Additional Fees Due ............................................ $ A.P. # ®k0_ RAZ 0 1_7� DATE 3 11 -6 a RECEIPT # DATE REC. I d°�' Gtr - evised Plan Checking Fee....... ............................ $ SCHOOL DISTRICT FEES (paid at District Office) SHERIFF FEES (paid at Building Division) 7 Residential .................................... x $360.00 = $3626-- GO v Units Commercial (sq. ft.) ...................... x $0.03 = $ Sq. ft. 4. URBAN AREA FEES Residential ............................ x = $ # Units Amt. Commercial (Sq. ft.) ............. x = $ Sq. ft. Amt. 5 ECREATION DISTRICT FEES —QUAILROVYIel 6. THERMALITO DRAINAGE DISTRICT FEES $510.00 (paid at Building Division) 7. SRA FIRE INSPECTION AND PLAN CHECK $89.00 (paid at Building Division) 8. WATER TENDER FEES (Battalion #) $200.00 (paid at Building Division) �C 9. CSA 87 TRAFFIC FEE // $2500.00 (paid at Building Division) 10. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the building permit. These fees may be changed during the plan checking pro APPLICANT DATE 3— Pursuant — Pursuant to Government Code Section 66020, you are hereby notified that items 2, 3, 4, 5, 6, 7, 8, 9, and 10 above may have been imposed on your project. You have 90 days from the date of approval of the project or from the imposition of the above mentioned items during which you may protest. The requirements for a protest are specified in Government Code Section 66020(a). Original - Building Div. 2nd Copy - Applicant 3rd Copy - Owner (Rev. 6/00) BUTTE COUNTY SCHOOLS IMPACT FEE.CERTIFICATION FORM ^, _ (One form per Building) School District )II + OE" o A Building Department No. J� A.P. Number y n .. 2� ... �a Jurisdiction: • City County Property Owner (,�. ,,, ! e i44.'0 / r r Property Location/Address / Subdivision Lot No. Residential Development Commercial/Industrial Building ................................................................................................................... Sq. Footage Addition/ 'Supplemental to (Group R) Conversion Permit # '(No foundation inspection); ................................................................................................................... (Floor Plans reviewed by School District Personnel) Sq. Footage (Including Exterior Roofed Areas) late District Identification No. A. �# i �Ct rr��� c{ � Q r i-e�✓' 1�1 V � t F 1 �—']� Sch6 ool District certifies that " j (Applicant) 9� t b Good 4r�P P� r . 89Ss• $a7 $ (Street Address) t (Phone Number) nL! k"4 -A -m cag s-1 3* 8' ,(City) (State), ^ (Zip Code) has complied with the requirements of Resolution No. by payment of $ Q yL14.D o2 I .re�pre a ting / �'� ?j square feet. AB 2926 $ 11 FULL MITIGATION $ i 57 3 \ Schopi District Representative Date i Paid by Check # � / + (, Remarks: ! Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, in compliance with Government Code Section 66020(a), within 90 days from the date fees are paid. Failure.to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that thisrproject is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to full` lyy�miigate its impact on the school district's schools. White (applicant), Yellow (building depart nt),,Pinkx(school district) feeform.xis (10/98)dmm ,t 4 4' c- 'J "��r--`^'1r�C'�,� +'y`q"y"i.`.+�y-^ ` �.."n y✓""+�d".+M'.-L.i�.=-'ti "�ll;�.��' ,ry7,1 L' � �:�+'a'� w!i k.-=:..+,,<,:�??+�i'i�,+H'.•. -ti f..r:,:,'„ -.,('l r'j' ,v 3"., � . , �� .. �-E' '`dry'' W 'y:�a'ry + ��'4(. F'Yti✓'r'J'�'' r� ��.'":��w S�,Jai-y�cy,:;fi,� �,!'I'=+" O" BUTTE COUNTY PARK FACILITY FEE PAYMENT CERTIFICATION FORM DURHAM RECREATION AND PARK DISTRICT Assessor Parcel Number (s): .90- ;15a-01-7 Property Owner (s): + -t- Project c Project Location/Address: Subdivison Name: Go0aso-e r. Assessable Square Footage: Type of Residential Development (check one): of NOw, DV lopment ❑ Alteration/Addition j Mobile Home (s) Non -Residential to Residential Comments: Bu"iId Recreation F1arJ Icl _- rVe r Applicant Name G21cc CJ Street Address . Date Park District (DRP -M -certifies that -7 Applicant Phone Number C A _,J City State Zip Code . has complied with the requirements of the Butte County Board of Supervisors Resolution No. 93 - 114 by payment for 1Y,48 square feet at $ 1.04 per square`foot for a total payment of $ `I921.a2- C r RPD Representative PAID BY CHECK No.: BANK No.: )J_ 7- PAID BY CASH: RECEIPT No.: 1-72 35 DISTRIBUTION: WHITE - APPLICANT PINK - DRPD YELLOW- BUTTE CO: `BUILDING DIVISION r Fau ut uc ua:laa p-1 07o- aoz ftUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 - Telephone (530) 538-754411PER IT NO. tRev.12196) I APPLICATION AND PERMIT -C) AssesroR PARC0. NU o - a 0 -0 I-4- xoHl "R ^3 BUILDING PERMIT owNea TeLrPoNo —"—""— SQ FT OC.P. BUILDING VALUATION OWNER NaDS COWPAC7y" mum CONTRACIT(OR'S MAILIM ADD /I CONSTRUCTION UNDER IENOER'S MAJUNO ADDRESS ARCHITECT OR ENGINEER ARCHITECT OR ENGINEER$ MAUNO ADDRESS -BUILOINGADDRESS 9389 W LOT NO. I 9LISM0IONS NAME [�� —7 PARCEL MAP 1 o I/ QT D USEOFSTRUCTURE . SF ❑ Duplex O Mobilehome x Other SPECIFY TYPE OF WORK Now ❑ Addition ❑model ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: 0—A, 4eU/YldL—&cS-n d � t M ,) t4 L .� *PERAW FEE PAXb S o `�- SRA • - s SHERIFF s s ItJ kbVNT RE"MV-Eb : " T NV#Aft....y3�. . * TO 14 !VT INTO cowv 'ER Fireplace Total Valuation Is -` Filing Fee $ 20.00 Permit Fee a , 5d — Plan Checkina Fee S Q Energy Plan Checking Fee $ S PERMIT FEE I S 5 L 71 PLUMBING PERMIT -4 Filing Fee 20.00 Each Trap 7.00 Solar or heat um water heater 23.00 r Water piping 15.00 �j SOC Each as water heater or vent 15.00 Gas piping stem 1 - 5 outlets 15.00 Buildingsewer 15.00 ,00 Mobile .Home SG W Q20.0o 5- 00 PERMIT FEE S 51 pp ELECTRICAL PERMIT Filin Fee 20.00 Main Service 00°V OR LESS 20oA OR LEss Main Service 200A TO IOOOA — 23.00 46.00 M W NCW CONOT. DYVELLM OCCUP. OR ADONS. 6 ACC. SLDS. 90 3.5¢FT. -NON. MULTI.OUTLET Q7.501 GPOWER APPARATUS 6 sINGLE OUn.ET CR. Ex. Occup. OUT Er OR FIXTURES 200 SAL 50 - E%. OCCU FIXED APPLNS. OR OUTLM REOI°. EA 5.00 - Temporary Service 23.00 + Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ (� MECHANICAL PERMIT Fling Fee 1 20.00 Heatina 6.50 ; Mobile Home Installation Fee Energy Inspection Fee occ CONST. TYPE TI O AL FEE $ rL Yq R9 .-•-CD • This permit is hereby Issued under the applicable provisions of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been pard. By ReceiplNo.PERMIT EXPIRES ON WHITE•D.O.S.•6.0. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT Date SITE PLAN REVIEW APPLICATION Date: 3 -1 ► -- p 2 AP# O i✓� - Z ' ( I Permit Number (if applicable) APPLICANT IlYFORMA TION Parcel Size: J 8 A Owners Name: I A 2'�' Z. }-1 iaf2_0 L IQ Owners Address: C) 22-5 GCM -DS P6"D ST , 4� L 6V QA ptirv� Telephone No.: 81916- a`Z % g Situs Address: '9 % 89 &&7&-DSQ6--Z5� S _ Proposed Use: Residential New Single Family Residential ❑ Single Family Addition Mobile Home ❑ Residential Accessory ❑ Permanent Second Dwelling ❑ Temporary Mobile Home (Aunt Minnie) ❑ Temporary Travel Trailer ❑ Multi -family Non-residential ❑ New Commercial ❑ Commercial Addition ❑ New Industrial ❑ Industrial Addition Other ❑ Septic ❑ Agricultural Exempt Building ❑ Other: Brief Explanation (if necessary): ❑ Single Family Remodel ❑ Commercial Remodel ❑ Industrial Remodel ❑ Well DO NOT WRITE BELOW THIS LINE DEVELOPMENT SERVICES INFORMATION (For Staff Use) Approved ❑ Conditionally Approved ❑ Resolve Problems Prior, to Approval Site Plan Stamped Approved By L__Y� Date 3 -) S 9 q__ Page 1 of 5 ti ALL ITEMS CHECKED APPLY TO THE PROPERTY Parcel Is In: ❑ Snow Load Area: ❑ Land Conservation Act Minimum Acreage: ❑ Verify residence can be built per contract ❑ Nitrate Action Plan (See Environmental Health for standards) ❑ Watershed Protection Overlay Zone (See attached standards and requirements) ❑ Expansive Soils (Test for expansive soils and if verified proper foundation design required) ❑ SRA - (CDF to determine specific requirements) ❑ I00 -Year Flood Plain: (See attached) • Flood Zone: '/1 • Flood Panel No.: DSZO G Index Date: 6-6— 8 ❑ Sacramento River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ Feather River Reclamation District (Approval must be obtained from the California Reclamation Board) ❑ North Chico Specific Plan (See Development Fees Section and attached standards and requirements) ❑ C hapman/Mu I berry (See attached standards and requirements) ❑ Cohasset Area (See attached standards and requirements) ❑ Grading Zone (See attached handout) Use Requires: ❑ Use Permit ❑ Minor Use Permit ❑ Administrative Permit ❑ Minor Variance ❑ Variance ------------------------------------------------------------------------------------------------------__—_— ❑ Detached Building Use Form ❑ Encroachment Permit ❑ Agricultural Worker Affidavit ❑ Agricultural Acknowledgement Statement Zoning: R — Applicable Building Setbacks: ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Zoning Code Streets & Highways Fire Prevention Subdivision Map Front Side Side Street Rear Height Waterway N/A N/A N/A ❑ Setbacks drawn on site Plan. ❑ CDF approval needed for encroachments into SRA setbacks. Page 2 of 5 Applicable Development Fees: Standard Fees Amount Formula ❑ Fire ❑ School* ❑ Parks/Recreation ❑ Roads ❑ Sheriff ❑ Drainage ❑ NCSP/CSA 87 ❑ Chico Urban Area — Road ❑ Thermalito Impact ❑ Other ------------------------------------------------------------------------------------------------------------------------- Subdivision Map Special Fees ❑ Water Tender ❑ Road Improvement ❑ North Oroville Area ❑ Other (per map) * Check with school district to verify actual fee if pre -application review. A final determination will be made.at the time of the building permit. Parcel Created By ❑ Deeds: Date of Creation: Legal Access Provided: ❑ No ❑ Yes Deed of Reference: Legal Access Required ❑ No ' ❑ Yes Parcel Frontage on Publicly Maintained Road: ❑ No ❑ Yes, Road Name: Complies with County Standards for Deed Creation: ❑ No ❑ Yes Comments: ❑ Parcel Deemed to be legal ❑ Verify Legal Parcel ❑ Verify Legal Access ❑Provide Deed of Creation ❑ Obtain a Certificate of Compliance ❑ Obtain a Merger ❑ Obtain a Lot Line Adjustment ❑ Comply with Old Subdivision Lot Ordinance (Maps recorded prior to Book 17 of Maps Page 23). ❑ Construct road to: ❑ Meet Parcel size required by zone ❑ Meet current Environmental Health Department requirements Page 3 of 5 iff Subdivision iVlap/Parcel Map: Map Date of Recording: Lot: 13 ❑ Use Permit/Minor Use Permit Permit Number: :.., 0 • Date of Approval: ❑ Comply with the following Conditions of Approval: ❑ Meet the Fire Safe Regulations of Butte County and P.R.C. 4290 Page: > ❑ Automatic fire suppression sprinkler systems shall be installed in accordance with the National Fire Protection Association Standard for installation of sprinkler systems in one and two family dwellings and mobile homes, NFPA Standard 13D, unless a pressurized community water system, with hydrants that meet the Fire Department specifications, serves the parcel. ❑ Wood stoves and fireplace inserts shall be EPA approved and designed to meet the emission requirements of the California Clean Air Act of 1988, as amended. ❑ Provide an erosion control plan for building and land disturbance on slopes steeper than 300/6. The Erosion Control Plan must be prepared by a registered civil engineer or other qualified professional and be submitted to and approved by the Department of Public Works. ❑ A plan prepared by a certified arborist, botanist or landscape architect that shows the existing on-site mature trees, located in any area proposed for buildings and vehicular access, and provides for methods to protect the trees identified to be preserved, shall be provided to and approved by the Planning Division prior to the issuance of building permits and/or prior to grading or vegetation removal. The removal of mature trees shall be minimized, where possible. A mature tree shall be defined as a tree with a trunk measuring 4 inches in diameter, 4 feet from ground level. Mature trees removed shall be replaced on a 3 -to -1 ratio, utilizing existing oak tree stock. Each tree to be preserved shall be surrounded by a circular zone (minimum 40 -foot radius) identified by an orange fence during construction activities. No vegetation removal, soil disturbance, or other development activities shall occur within the fenced area. ❑ Measures shall be taken to control fugitive dust emissions from all driveway and other civil construction associated with residential development. Approved dust control measures are found in the fugitive dust control plan for the site approved by the Butte County Air Quality Management District, a copy of which can be obtained from the Butte County Department of Development Services, Building Division." ❑ Engineered foundations are required. ❑ Class A roofs are required. Page 4 of 5 x L_1 Summary of Specific Requirements: NOS( This information provided in this summary is based on the application information and on the best available data at the time of review. CAMy Documents\Building Permit Site Plan Reviewl.doc Page 5 of 5 'Y r x L_1 Summary of Specific Requirements: NOS( This information provided in this summary is based on the application information and on the best available data at the time of review. CAMy Documents\Building Permit Site Plan Reviewl.doc Page 5 of 5 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally .plan to provide them ' abor and materials for construction of the proposed propertyimprov nt : YES NO E 2. I HAVE 13 HAVE NOT 13 signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm).to provide the proposed construction: NAME: [. ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S LICENSE NO. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: NAME ADDRESS PHONE TYPE OF WORK SIGNED: ,(PROPERTYOWNER: SOCIAL SECURITY N DATE: -3 0 NOTE: This Owner -Builder Verification is required by Section 19831 and 19831 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. OVER OWNER BUILDER INFORMATION I Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license number on all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should be aware of the following information for your benefit and protection: ♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. ♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation contributions. ♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious with respect to worker's compensation insurance. ♦ For more specific information about your obligations under Federal Law, contract the.Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. I rely, blic el C. Vi ira, C.B.O. M ger, Building Inspection NOTE: This Owner -Builder Information is required by Section 198.10 of the California Health and Safety Code. OVER Please complete the following information in order to process your submittal. 1'f this form is not c and legible. it may cause a delay in processing. E ame: Gz- V'' ��'/� Received By: Date. q Permit �: �a — OSS TimneNumber: s� U � 6 -3 Purpose of submittal: ennit Application Data Item ❑ Engineering ❑Plan Revision CO3Requested by Building Inspector or Correction Notice - Inspector's Name: U Reque sled By Plan's -Examiner's Name: rJ Other: if you are revising a plan which has already been issued, submit two(2) drawings reflecting the revisio. eview. If engineering is involved in this revision, the engineer must put his requirements on these dra tamp and sign the drawings. Include two (2) sets of wet signed engineering. Revised drawings must cle t_ _ _ ____ ___,___J _._J 1......1i When Approved, Process as Follows: ❑ Mail to Owner at this address: ❑ Mail to Contractor at this address: ❑- Call and hold for pickup at the ❑ Chico Office ❑ Oroville 0 ❑ Deliver with next inspection. ❑ SJ6.00 Recei til: — C3 Additional Fees Not R; Revised Plan Check Fee: P Additional feej may be due based upon complexity and time. involved to process this su` Addicional Fees: _ Receipt 0: A jurxl l A%JL j Please complete the following Wormation in order to process your submittal. If this forth id not and legible. it may cause a delay in processing. 6vner's Name: ��� I `� T, I. Received By: �._,.. Date: A.P. #: _ T` , `Z � �% l r% Permit #: ©fid ' Z� Tim ContactPhoneNumber: 6-1,6 6 3 Purpose of submittal: CO Permit Application Data hent ❑ Engineering ❑ Plan Revision ❑ Requested by Building Inspector or Correction Notice - Inspector's Name: By Plan's Examiner - Examiner's Name: , - 3S 0-/ O Other: If you are revising a plan which has already been issued, submit two(2) drawings reflecting the revisit review. If engineering is involved in this revision, the engineer must put his :requirements on these dra stamp and sign the drawings. Include two (2) sets of wet signed engineering. $evised drawings muSt le When Approved, Process as Follows: ❑ Mail to Owner at this address: O Mail to Contractor at this address: ❑ Call and hold for pickup at the ❑ Deliver with next inspection. Revised Plan Check Fee: ❑ SJ6.00 Additional fees may be due Additional Fees: 0 Chico Office ❑ Oroville O Receipt M: Additional Fees 1°1ot R based upon complexity and time involved to process this su!: Receipt •: Please complete the following Wotmation in order to process your submittal. If tltis form is and legible. it may cause a delay in processing. Owner's Name:-� �O �� Received By: _� Date: A.P. M - - 1:2 Permit A. kontactphonwumber: �s Purpose orf submittal: Q Permit Application Data It+t nc a r ani r s r 3ris4xz ca' i t y t y T s 4< °° tri nm r rY war s: C1` En r.: a cf t.b. ,c ,``.•ri fi'''r ' '" ` r . Q PIan Revision O nested by Building Inspector or Correction Notice - inspector's Nunes- Requested By Plan's Examiner -Examiner's Name: 0. Other: ' If you are revising a plan which has already been issued, submit two(2) drawings reflecting the revi. review. If engineering is involved in this revision, the engineer must put his requirements on these stamp and sign the drawings. Include two (2) sets of wet signed engineering. Revered draMdngssmmus_t [—"nAheProcess as Follows: pproved, 3 Mail to Owner at this address: O Mail to Contractor at this address: ❑ Call �7 b and hold for pickup at the O Chico Office L7.Oroville Q Deliver with next inspection. Revised Plan Check Fee: 0 S46.00 Receipt M: Cl Additional Fees Not .Additional fees may be due based upon complexity And time involved to process tali 01 Additional Fees: Receipt /: PLAN REVIEW RESPONSE FORM In order to expedite the review of your plans, please complete the following information and return this form with your re-subruitW this form is not complete, as to all correction items, we will not be able to accept your re -submittal for review. There must be a 6 response to every item requested in our plan correction letter. "By others" is not considered a valid response. Please indicate , response to each item and the location where the information can be found on the plaWcalcs. ATTACH THIS FORM TO A COPY OF YOUR PLAN REVIEW LETTER AND RMJRN WrM REVISED AND ORIGINAi no ..._ T-QV'-kK- I SSESSORSPARCEL NUMB R e)LfC) -Zj0 -(o(-7 IKtJLh GneYVN rLANI I Lt1 1U. �0 �I I �1 , V�l��ob� COMMENTS: PLAN C NTS: rTEM N COMMENTS: ESPONSE E BY: ,%:2 (0- 3— c)�— NUMtltK LOCATION ON P TION N ON PLANS/CALL LOCATION ON PLANS/CALC7 ?�� � - % � 1111!lII1!!1lIIIII111111111111lI11 210rZP--3 349KbEa AND WHEN RECORDED AIL TO: BUTTE COUNTY BUILDING DIVISION 7 COUNTY CENTER DRIVE OROVILLE, CA 95965 Recorded I REC FEE Official Records CONFORM Countyyf BUTTE CANDACE J. GRUBBSReco I ROSEMARYrder DICKSON I Assistant I Myles 09:00AM 30 -May -2003 I page 1 of 1 AGRICULTURAL STATEMENT OF ACKNOWLEDGMENT FOR RESIDENTIAL DEVELOPMENT Section 26-8 of the Butte County Code required this acknowledgment to be recorded prior to issuance of a building. permit. The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this property may be subject to inconveniences or discomfort from the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural purposes and residents within said zones and on adjacent property should be prepared to accept such inconvenience or discomfort from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: TE Lot 13, as shown on that certain Map entitled, "MARTENETADDITION TO DURHAM, BUTTE COUNTY, CALIFORNIA,", filed in the Office of the County Recorder of Butte County, California, on MARCH 21, 1921, in Book 8, of Maps, at Page(s) 37. Assessor`s Parcel No: 040-250.097 • Date S - Z tt 3 State of California County of PROPERTY OWNERS: t� ���O11t� personally appeared t!0[M0 :1 tX—W-Y personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) Ware subscribed to the within instrument and acknowledged to me that he/she/they executed the same In his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument, the person(s) or the entity upon behalf of which the person(s) acted, executed the instrument. WITNESS-PA.hand and official seal. Signata Seal: J. TUN ISON O COMM O / A.P. # . 234972 W in WTARYPU8UCC,4LfPoR1.0 lJ euM cow y O i. MY COMM. EXPIRES SEPT 1g, 2M 7.00 1.00 ,14 Environmental Health .) u L 1 6 2002 Califomia t� BUTTE COUNTY BU19.DlNG DEPARTMEIV'E APPR01►ED APPROVED Butte County wramm 1. Owner's Name: IIAAOLb 7AR T [1Z 2. Assessor's Parcel Number: n y O - 250 - d17 3. Installer's Name: n W NZA 4. Is the site currently under permit? Yes[ ] NoN Permit No. 5. Is the site an existing site? YesN No[ ] (If yes, furnish two plot plans). 6. What is the electrical.rating of the mobilehome? /00 Amperes. 7. What is the mobilehome site circuit breaker rating? 7 no Amperes. 8. What is the electrical rating of the mobilehome site? 2-00 Amperes. 9. Is the main service remote from the mi obilehome site? Yesk] No[ ] If it is, what is the rating? Zao Amperes. 10. Is there any other electric load to be served by the mobilehome site electric service (i.e. well, garage etc.)? Yes[ ] No If yes, please identify the load and size: a) The mobile home site: Load- Amperes - b) The main service: Load- Amperes - 11. Type. of gas service at mobilehome site: Natural VA Propane[ ] None[ ] 12. Size of gas pipe at the . mobilehome site from the meter or tank: N A-(UALM inches. /00 13. What is the gas pipe length from the meter or tank to the mobilehomeft.). 14. What is the mobilehome gas demand? 1 SS, 00 o B.T.U.* *(This information is not required if the pipe length is less than 6 feet on. natural gas or less than 50 fest on propane). . ?:{A w" May 1993; Y �� J .3 I/A 8.5 Mobilehome Manufacturer:1511 a e -r c r c,-4 L Manufacture Year: -2-6 D Z If other than single wide, furnish Setup Model Number: W S VO -A WidthkWq" (ft.) Length: W ' (ft.) Tagalong or Expando Size (ft.) x (ft.) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets. ae 0, r�p r`- FOOTINGS: Wood pressure treated or foundation grade[ Oth L�oi�er� + t SUPPORTS: Concrete block[ 1' Other: Provide Tie Down Specifications for all Mobilehomes: Pier Footings Sizes and Location SINGLE WIDE KULTI-WIDE Line e1 Line 2 Line 2 ................................................................................................ Main Beams ............................................................................................... Line 3 - Line 2 Line 1 Line 2 ................................................................................................ Main Beams Line 2 ................................................................................................ Line I ............................................. Eine ine 5 Tag or Triple ine 4 1 Line 1 Piers: fjor ,.,#J °'l V0 6 ine 1 Openings Size minimum: r 1 x r Size minimum: [ ] x ( ]. Spacing maximum: Each side of openings From ends -maximum: with width over: , Line 2 Piers: het W�%�� 4 fO1���-Line 4 Piers: Size minimum: [a4 ] x [o1 -y]. Size minimum: [ ] x [ ]. Spacing maximum: Ik Z-) Spacing maximum: ` From ends -maximum] a k From'ends-maximum: ` Line 3 Roof Loads: Size minimum Location (;;4Vt): 16 13q'3" I Yt 6" 57'/>" Line 5 Roof Loads: Size minimum: Location (from front): May 1995 8.4 PLAN PERIMETER LAYOUT FOR SERIAL NO. ,12,5 ,, [c) 171 wa W S • �a � NOTE: 1) M&MIREMENTS ARF• FROM RINI JOIST TO RIM .jowr. 2) NIF.ASUREMF.NTS DO NOT INCLUDE SIDING: AND TRIM. 3) TIIIS PERIMETER LAYOUT IS FOR 2 y (. a�(jr--m1orz wA1.i.ONI.Y. d) SEE DOLle,L.e- WIDE FOUNDATION SYSTEM FOR GENERAL NOTES AND DETAII,.S. HOMES CORPORATION 10 1ry� ,101 • Woodland. California 95695 PERLMETER LAYOUT PLAN DRANVN R1': ' —rL, DATE: `' 6 - 1 6p I OF a®" 5,��VgRc�k� E RIDGE BEAM SUPPORT PIERS MODEL LINE:V�/�rwG2� ZCv x .r-�- DATE: DAPIA APPROVAL_ Mr1% 0 51996 ED F"'al n„cnc factumd ��---'� Home-ns.rut L-�""a Zd Safety Standards . . ti JONTS EN ITS PLAN NO. . (DEAD LOAD 8 P.S.F.) LOCATE SUPPORT PIERS FROM REAR OF FLOOR 1 2 3 4 5 6 7 8 9 10 11 12 . 111 -GLI' LOCATION =�- 0' oil -=t= 4 =1= 4 '011lord 1 44 r2071v 41-1,1 ----A-7b A B LOAD AT 20 P.S.F. LOAD AT 30 P.S.F. LOAD AT 40 P.S.F. 4,V1 2 1003 loee L 060 4 r-;1P>O -- -- — --- -- LOAD AT 60 P.S.F.- LOCATION ---►- LOAD AT 20 P.S.F. 4 8LOAD C AT 30 P.S.F. LOAD AT 40 P.S.F. LOAD AT 60 P.S.F. LOCATION s , LOAD AT 20 P.S.F. C D . LOAD AT 30 P.S.F. LOAD AT 40 P.S.F. LOAD AT 60 P.S.F. L.l.+r.4nci It%nnihorlinnl kwnrinn wnn between _ these supports. Additional PIERS are F PF -7 Q.1"i'�,%I vw i RAyf110f1G L. WOE 6 ASSOCIATES ,` �; °v P.O.. Box 643 Shingletown, California 96088 (530) 474-1245 "T� (� h tG��i �,E� �6 M,6 H to NL C%h ARCHITECTURE T , d Z _ o.S.. Z .z. izj3 oz: ft-,� ENGINEERING ENERGY PLANNING COUNTY -OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754t)3 �� I (Rev. 12/96) APPLICATION AND PERMIT <f,(// d --2-150 -O ASSESSOR PARCEL NUMBER 040 l(. -..,JJ ZONING BUILDINGPERMIT OWNER w STTNE SO. FT. OCC. BUILDING VALUATION .OWNER'S MAIU1:? CONTRACTOR'S TELEPHONE CONTRACTORS MAILING ADDRESS ' CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation Is ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ Plan Checking Fee $ BUILDING ADDRESS /� L`J Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDNISIOWS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Qescribe Work:k Q r A l(�%L.Q. -" -✓ Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 PERMIT FEE $ P4L- o-2- ®s22 ELECTRICAL PERMIT I Filing Feel 20.00 Main Service2o0A eo0A oR LESS OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I herebyaffirm under penalty of perjury that I am exempt from the Contractors License P hY P I N P Lor the following reason: I, as owner of the property, or my employees with wages as their sole compensation, 9 will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main .Service YOGA TO 1000A . 46,00 NEW CONST. DWELLING OCCUP. OR ADONS. ( a ACC. BLDS. So 3.5¢FT: R6ID.1 MULTI -OUTLET @7,50 APPARATUS 8 SINGLE OUTLET CIR. EX. OCCU OUTLET OR FO(TURES BAL @'; 0 Ex. Occup. FTxeo 8316 OR our�Ts RESID. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall N P P not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation rovisions of section 3700 of the Labor Code, I shall forthwit omply wfti5' ose provisio s. X Date /0-0-3 Signat a of Ap ' t - Owner ❑ Contractor ❑ Agent An OSHA per ' required for excavations over 5'0" deep and demolition or construction of structur ver 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST.rr� TOTAL FEE,9 HAZ. I D. FEES IMP I FLOOD I CDF pgpCEl pp HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indica d ove for `whi fes have been paid. �o By Date PERMIT EXPIRES ON /0 t Date Receipt No. - WHITE-D.D.S.-B.D. CANARY -ASS OR PINK -INSPECTOR GOLDENROD -APPLICANT 7, 01 N f vi C� 5z ENVIRONMENTAL HEALTH JUL 2 3 2002 CHICO, CALIFORNIA ii0AJTS ( 14 OLIN lq viL 'Z Z � 1.• I r------ � —�"" / --^ a -- � 7 . I R=Pu�c�wl X/ D, E FilLo l 5 , � I L APPROVED �- S SYr` PA��� Butte County NOTE: See_ the attached ��esid�ntlal Construct'�D Rejuirements !S: �wr �� Pages 'S"Mt)OVA 6- AND EQUMEMT INCLUD" WERHANQS SHALL BE CLEAR OF ALL EASEMENTS. A SET BACK OF �_ F';. FROM THE SIDE AND, fT. FROM THE REAR 'FfrV` LfNES AND c7 - f`T. FROM THE ROAD iSHALL BE CLEAR 10F MUCTURES AND EQUIPMENT EXCEPT A 2 rzAVZ OVERHANG. � 2 - BUTTE S11TTE COUNTv BUWNG DEPARTMEN! !�'PR0ED fet